• 1. Cardiology Department, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P. R. China;
  • 2. Cardiac Surgery Department, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P. R. China;
  • 3. Ultrasound Department, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P. R. China;
SU Xi, Email: yaxin_suxi@163.com
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A 69-year-old male was presented with exercise intolerance and progressive exertional dyspnea for 3 months. His main clinical diagnosis were degenerative valvular disease, severe aortic stenosis, severe aortic regurgitation, severe mitral regurgitation, severe tricuspid regurgitation, ventricular electrical storm, chronic heart failure, and New York Heart Association (NYHA) class Ⅳ heart function. He was encountered with sudden ventricular electrical storm in the emergency room. Extracorporeal membrane oxygenation (ECMO) was impanted beside during cardiopulmonary resuscitation. Emergency transcatheter aortic valve replacement (TAVR) was successfully performed under the guidance of transesophageal echocardiography when hemodynamics permitted. ECMO was withdrawn on the 5th day and discharged on the 21st day. TAVR is safe and effective for the treatment of high-risk aortic stenosis, and ECMO support is the key for the success of cardiopulmonary resuscitation.

Citation: XU Chengyi, ZHANG Longyan, GUO Hui, SONG Dan, WANG Bo, HUA Zhengdong, SU Xi, HE Yafeng. Severe aortic stenosis treated by emergency transcatheter aortic valve replacement after extracorporeal cardiopulmonary resuscitation: a case report. West China Medical Journal, 2020, 35(4): 412-417. doi: 10.7507/1002-0179.202002387 Copy

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